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27 Document(s) [ Subject: Medical reimbursements ]

Committee: House Human Services
Title: Interim Report
Subjects: Child nutrition programs | Diet and nutrition | Food banks | Foster care | Health maintenance organizations | Hunger | Long-term care | Medicaid | Medical reimbursements | Senior citizens | Supplemental Nutrition Assistance Program |
Library Call Number: L1836.82 H88
Session: 82nd R.S. (2011)
Online version: View report [57 pages]
Charges: This report should address the charges below.
1. Monitor the implementation of Foster Care Redesign. Evaluate the mechanisms for monitoring and oversight, including rates, contracts, and client outcomes.
2. Identify policies to alleviate food insecurity, increase access to healthy foods, and incent good nutrition within existing food assistance programs. Consider initiatives in Texas and other states to eliminate food deserts and grocery gaps, encourage urban agriculture and farmers' markets, and increase participation in the Summer Food Program. Evaluate the desirability and feasibility of incorporating nutritional standards in the Supplemental Nutrition Assistance Program (SNAP). Monitor congressional activity on the 2012 Farm Bill and consider its impact on Texas. (Joint with the House Committee on Public Health)
3. Explore strategies, including those in other states, to support the needs of aging Texans, including best practices in nursing home diversion, expedited access to community services, and programs to assist seniors and their families in navigating the long-term care system, with the goal of helping seniors remain in the community. Assess the feasibility of leveraging volunteer-supported initiatives using existing infrastructure to enhance the ability of seniors to remain active and involved.
4. Monitor the agencies and programs under the committee's jurisdiction and the implementation of relevant legislation passed by the 82nd Legislature, including the implementation of managed care in South Texas.
5. Study and make recommendations for significantly improving the state's manufacturing capability.
6. Find ways to increase transparency, accountability and efficiency in state government.
Committee: Senate Finance
Title: Interim Report
Library Catalog Title: Interim report
Subjects: Aging and Disability Services, Texas Department of | Criminal Justice, Texas Department of | Employees Retirement System of Texas | Employers | Financial investments | Frew lawsuits | Health and Human Services Commission, Texas | Health insurance | Health insurance premium subsidies | Higher Education Coordinating Board, Texas | Highway finance | Investment of public funds | Iran | Medicaid | Medical reimbursements | Parks and Wildlife, Texas Department of | Permanent School Fund, Texas | Permanent University Fund | State agency budgets | State government debt | State Health Services, Texas Department of | State supported living centers | Sudan | Tax incentives | Teacher Retirement System of Texas | Texas Southern University | Transportation, Texas Department of | Youth Commission, Texas |
Library Call Number: L1836.80 F49
Session: 80th R.S. (2007)
Online version: View report [46 pages  File size: 698 kb]
Charges: This report should address the charges below.
1. Provide effective budget oversight of state agencies to ensure that monies appropriated are spent wisely. Particular areas of focus will include the Texas Department of Transportation, Department of State Health Services coordination of Mental Health Services, Texas Parks and Wildlife Department revitalization of State Parks, Health and Human Services Commission management of Frew settlement agreement and waiting list slots, Department of Aging and Disability Services improvement of State Schools, Texas Department of Criminal Justice roll out of treatment programs and review of the salary career ladder for employees for retention purposes, Texas Youth Commission achievement of reform, Texas Southern University rehabilitation, Higher Education Coordinating Board implementation of incentive programs and the creation of the Texas Cancer Research and Prevention Institute.
2. Evaluate the effectiveness of existing state tax incentives that encourage employers to provide health coverage to their employees, including tax incentives under the revised state business tax, and make recommendations for additional deductions or credits that increase the number of employees covered by health care insurance.
3. Study the feasibility and the advisability of establishing an investment policy that is consistent across all state trust funds, including the trust funds of the Employees Retirement System, the Teachers Retirement System, the Permanent University Fund, and the Permanent School Fund. Identify best investment policies for state trust funds. Examine recent portfolio diversification strategies and the effect they have on long-term fund performance. The recommendations should consider what is an acceptable rate of return, an acceptable degree of risk, the appropriateness of certain investments. (Joint charge with Senate State Affairs Committee)
4. Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Health and Human Services Committee)
5. Study and review state and local options for expanding transportation funding and explore options to reduce diversions of Fund 6 revenue. (Joint charge with Senate Committee on Transportation and Homeland Security)
6. Study and make recommendations relating to whether the Texas Department of Transportation is in compliance with Transportation Code §201.109, Revenue Enhancement, and whether the Texas Department of Transportation is using the funding sources provided by the Legislature, including, but not limited to, General Obligation, Fund 6 and Mobility Fund bonds, to build new roads. (Joint charge with Senate Committee on Transportation and Homeland Security)
7. Monitor and provide a brief update on the implementation of legislation addressed by the Finance Committee, 80th Legislature, Regular Session, and make recommendations for any legislation needed to improve or enhance and complete implementation.
  • SB 247, 80th Legislature, Regular Session, relating to Sudan divestment, and make recommendations about whether to include Iran in the divestment strategy;
  • SB1332, 80th Legislature, Regular Session, to help improve the state's debt management and oversight, including a more comprehensive review of state debt and improved communication between entities and oversight of state bond issuance;
  • SB 10, 80th Legislature, Regular Session, and the Frew settlement to ensure that the initiatives carried out by the Health and Human Services Commission affect meaningful improvement in access to quality care in the Texas Medicaid program; and
  • HB 3732, 80th Legislature, Regular Session, relating to ultra-clean coal technologies, and determine the amount of property tax removed from the tax rolls, as well as the corresponding impact on school finance. Identify any changes needed to strengthen the program and ensure its success.
Committee: Senate Health and Human Services
Title: Interim Report
Library Catalog Title: Interim report to the 81st Legislature
Subjects: Adoption | Aging and Disability Services, Texas Department of | Anti-smoking campaigns | Asthma | Caseworkers | Child abuse prevention | Child Protective Services | Community support services | Disease management | Disease preparedness | Disease prevention | Family and Protective Services, Texas Department of | Family Based Safety Services | Family preservation | Foster care | Health care providers | Health Enterprise Zones | Health insurance premium subsidies | Home health care services | Immunizations | Influenza | Medicaid | Medical errors | Medical reimbursements | Medically uninsured | Mental health services | Mentally disabled persons | Nursing homes | Obesity | Persons with disabilities | Preparation for Adult Living | Rural health care | State supported living centers | Stem cell research | Umbilical cord blood |
Library Call Number: L1836.80 H349
Session: 80th R.S. (2007)
Online version: View report [379 pages  File size: 16,580 kb]
Charges: This report should address the charges below.
1. Monitor the Department of Aging and Disability Services' improvement plan for the system of care for individuals with developmental disabilities, focusing on efforts to improve state schools and provide more community care options. Evaluate the process for preventing, reporting, and investigating abuse and neglect in state schools, ICF/MRs and the Home and Community-Based Services (HCS) program. Determine the short-term and long-term financial impact of increasing the number of individuals served in home or community locations and the financial impact this shift has on state schools. Monitor the department's efforts to convert institutions to community care providers through the money-follows-the-person program designed to improve access to community care services. Specifically make recommendations on:
  • how to further improve the system of care for individuals with developmental disabilities;
  • preventing, reporting, and investigating abuse and neglect;
  • developing a transition plan for reducing waiting list for community care service;
  • incentives for converting institutions into community care providers; and
  • a long term plan to address issues that result from the current federal Department of Justice investigation.
2. Study and make recommendations related to creating an outcome-based reimbursement model in Texas' Medicaid program as a way to improve quality of care, reduce medical errors, and create cost savings. Develop a pilot health care program that pays for best practices, rather than only paying for actual procedures performed. Examine the Centers for Medicare and Medicaid's (CMS) efforts to create an outcome-based system in the Medicare payment system that sanctions serious, preventable medical errors. Examine Pennsylvania's efforts to implement a similar outcome-based reimbursement model to make providers more vigilant about patient care, encourage best practices, and reduce costs in their Medicaid program. If necessary, examine other health care coverage models that have successfully incorporated an outcome-based reimbursement system. Consider pay-for-performance, options that reward good outcomes and the use of best practices, and changes to the reimbursement system that will reduce serious preventable medical errors and hospital acquired infections.
3. Study the effectiveness of the Resiliency and Disease Management (RDM) program in the mental health service delivery system, implementation of changes to the crisis care program, and recommendations for appropriate use of the mental health transformation grant. Identify strategies to increase access to services and meet future demand for services. Examine resource allocation and opportunities to maximize funding. Policy recommendations should maximize the number of inpatient psychiatric acute care beds, enhance access to outpatient services, promote the use of recovery-based services, and enhance access to community-based services.
4. Monitor the implementation of the Department of Family and Protective Services’ improvement plan to reduce caseloads for Child Protective Service caseworkers, and to provide family-based safety services and ongoing substitute care services. Evaluate the efficiency of Child Protective Services "functional units," and determine if other organizational models would allow for a reduction in caseworkers' caseloads, without increasing other administrative costs. Develop recommendations aimed at lowering individual caseloads, making casework more efficient, and improving the retention of caseworkers. Assess the viability of caseworker reimbursement as a manner to lower caseworker turnover.
5. Monitor the implementation of the Department of Family and Protective Services' plan to stabilize the foster care system and increase permanency options for children. Study placement capacity to determine how Child Protective Services can better develop the necessary adoptions or foster homes to meet the needs of children and families by increasing foster care capacity, recruiting and retaining more foster and adoptive parents, increasing the use of relative care, and developing best practices for reducing foster care placement breakdowns. This includes studying innovative ways to promote adoption and kinship care in Texas and best practices for foster/adoptive parents to improve their ability to care for abused and neglected children. Explore potential improvements and enhancements in the Preparation for Adult Living (PAL) program to increase successful transitioning from foster care to adult living. Study current death review processes for children who die while in state care.
6. Examine Texas' current strategies for preventing child abuse. Specifically study the effectiveness of current programs and how these programs compare to other state efforts. Identify national research-based solutions, including best practices and programs addressing sexual abuse. Explore promising existing and emerging approaches to child abuse and neglect prevention, especially those with a strong evidence base. Identify additional funding sources for increased child abuse prevention activities by the state.
7. Study the changes in statute contained in SB 10, 80th Legislature, Regular Session, as well as the state's current prevention and wellness efforts and chronic care management efforts, and identify opportunities for improvement in state policies and programs. Examine options for expanding and optimizing the state's current investment in wellness programs and management tools for individuals with chronic care conditions, including options that address childhood asthma. Review partnerships with the private sector that specifically address the following:
  • tobacco cessation, including the evaluation of a statewide smoking ban in public places;
  • reducing obesity;
  • availability and effectiveness of childhood and adult vaccines, including public education programs to promote the use of vaccines; and
  • more effective management of chronic care conditions.
8. Study the effectiveness and efficiency of nursing homes and home-based solutions/home care in Texas, and make recommendations to improve nursing homes and their funding. Identify and study successful nursing home funding models established by other states. Consider ways to fund infrastructure for nursing and therapists and home care. Examine the possibility of an incentive-based “pay for performance” rate plan for nursing facilities and consider factors that it could be based on, taking into account similar plans implemented in other states. Make recommendations on how best to use Medicaid to fund skilled nursing and home health care in Texas. Explore options for improving graduation rates for nurses in Texas.
9. Study and address ethical issues surrounding the impact of a pandemic influenza in this state, particularly focusing on the following:
  • the availability of human and material resources;
  • the benefits and burdens of mass vaccination plans;
  • the involvement of private sector professional organizations and businesses in the state's pandemic influenza preparedness and response plans; and
  • development and implementation of communication plans that will inform and prepare the public on risk reduction behaviors and local/state preparedness and response.
10. Study the potential for development of Health Enterprise Zones, which could offer tax incentives to medical providers who locate within the boundaries of designated medically underserved areas. Analyze similar legislation enacted in other states, specifically New Jersey, and estimate costs and benefits. Consider expanding incentives to medically related industries such as medical research facilities, laboratories and equipment manufacturers in order to spur economic development.
11. Monitor the collection and availability of cord blood stem cells for treatments and research in Texas. Review the current state of basic and clinical research using these and other types of adult stem cells. Assess the potential for clinical and economic benefits from current and increased adult stem cell research.
12. Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Finance Committee)
13. Study the state's current and long-range need for physicians, dentists, nurses, and other allied health and long-term care professionals. Make recommendations on how the state can help recruit high-need professions, especially for primary care providers and long-term care professionals in the underserved regions of Texas. (Joint charge with the Senate Committee on International Relations and Trade)
14. Monitor the implementation of legislation addressed by the Health and Human Services Committee, 80th Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, report on the implementation of SB 10, 80th Legislature, Regular Session, to ensure meaningful improvement in access to quality care in the Texas Medicaid program, focusing on how to cover more uninsured in Texas with market-based plans or premium assistance for employer health plans, and monitor the creation of the Texas Cancer Research and Prevention Institute.
Committee: Senate Health and Human Services
Title: Interim Report - medical reimbursement and uncompensated care
Subjects: Medicaid | Medical reimbursements |
Library Call Number: L1836.80 H349m
Session: 80th R.S. (2007)
Online version: View report [22 pages  File size: 380 kb]
Charge: This report should address the charge below.
1. Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Finance Committee)
Committee: Joint Health Services
Title: Interim Report
Library Catalog Title: Interim report / Joint Legislative Interim Committee on Health Services.
Subjects: Children's Health Insurance Program | Health and Human Services Commission, Texas | Medicaid | Medicaid application process | Medicaid eligibility | Medical reimbursements | Prescription drug costs | Prescription drugs |
Library Call Number: L1836.77 h35
Session: 77th R.S. (2001)
Online version: View report [140 pages  File size: 6,984 kb]
Charges: This report should address the charges below.
1. Monitor Medicaid and Children's Health Insurance Program (CHIP) cost issues, including: a)Medicaid cost containment activities, including implementation of Article II Special Provisions contained in Sec. 33 of SB 1, 77th Legislature, Regular Session; b)Implementation of SB 43, 77th Legislature, Regular Session, regarding Medicaid simplification; c)Health and Human Services Commission (HHSC) reorganization of Medicaid and CHIP administration; d)CHIP and Medicaid acute health reimbursement rates, including implementation of legislation passed by the 77th Legislature, SB 1053, 77th Legislature, Regular Session, SB 1299, 77th Legislature, Regular Session, and SB 1, 77th Legislature, Regular Session, HHSC, Sec. 54 and Art. II Special Provisions, Secs. 29 and 30; e)Medicaid and CHIP caseload and cost projections; f)federal actions affecting Medicaid and CHIP costs; and g)any other items deemed pertinent by the Joint Committee.
2. Study the cost effectiveness of twelve month continuous eligibility for Medicaid and CHIP and make recommendations to the 78th Legislature.
3. Monitor the implementation legislation passed by the 77th Legislature regarding interagency bulk purchasing of pharmaceuticals, HB 915, 77th Legislature, Regular Session, and SB 1, 77th Legislature, Regular Session, Art. IX, Sec. 6.47.
Committee: House Public Health
Title: Interim Report
Library Catalog Title: House Committee on Public Health, Texas House of Representatives interim report, 2002 : a report to the House of Representatives, 78th Texas Legislature.
Subjects: Alternative medicine | Biological weapons | Drug rehabilitation programs | Health, Texas Department of | Homeland security | Hospital districts | Immunizations | Medical licensing | Medical reimbursements | Mental health services | Prescription drug costs | Public health | Substance abuse | Terrorism | Undocumented immigrants |
Library Call Number: L1836.77 h349h
Session: 77th R.S. (2001)
Online version: View report [119 pages  File size: 429 kb]
Charges: This report should address the charges below.
1. Assess the state of the healthcare infrastructure in Texas in light of hospital closures, rising costs, constrained reimbursement rates, workforce issues and any other pertinent factors. Consider differences in regions or localities that might adversely affect healthcare delivery to specific groups of Texans.
2. Conduct an extensive review of access to programs and treatment options for mental illness and substance abuse. Identify barriers to access and any gaps in existing programs.
3. Examine the costs and benefits of allowing state and local governments to provide health and preventive care without regard to the immigration status of the patient.
4. Gather information about the production, distribution, use and disposal of biological agents that could be used in terrorist actions, as well as vaccines that would be used to respond to biological attacks. Review hospital plans for responding to large-scale emergencies. Review government regulations and business practices to determine whether legislation is needed to protect life and property and to detect, interdict and respond to acts of terrorism.
5. Study the use of complementary and alternative medicines in Texas. Is there a need for the state to develop a regulatory framework for their use?
6. Assess the procedures of health-related licensing agencies regarding the intake of complaints, investigation procedures and timetables, and enforcement of laws and rules. Comment on any factors involving the use or abuse of patient information by healthcare agencies or institutions.
7. Actively monitor agencies and programs under the committee's oversight jurisdiction. Pay particular attention to implementation of recommendations to restructure the Department of Health including the childhood immunization program; and implementation of pharmaceutical legislation passed by the 77th Legislature.
Committee: Senate Border Affairs, Special
Title: Interim Report - Health
Library Catalog Title: Health interim report : Texas border health.
Subjects: Air pollution | Air quality | Birth defects | Border health | Border Health Institute | Children's Health Insurance Program | Dengue Fever | Dental hygienists | Dentists | Diabetes | Drinking water | Immunizations | Indigent health care | Medicaid | Medicaid application process | Medicaid Disproportionate Share Hospital Program, Texas | Medical reimbursements | Medical research | Mental health services | Mosquitoes | Sewer service | Surface water pollution | Texas Center for Infectious Diseases | Tire disposal | Tuberculosis | Wastewater management | Water quality management | Water supplies |
Library Call Number: L1836.76 b644h
Session: 76th R.S. (1999)
Online version: View report [108 pages  File size: 503 kb]
Charges: This report should address the charges below.
1. Assess the Border Region's water and wastewater system infrastructure needs and the impact of the lack of adequate water and wastewater systems on health conditions along the Border. The Committee shall develop both short-term and long-term recommendations to address these infrastructure needs.
2. Assess the health conditions in the Border Region, including childhood diseases and chronic health problems endemic to the Border such as diabetes and tuberculosis. Included in this assessment shall be an evaluation of the utilization of immunization and prevention programs and of collaborative efforts on common health issues between Texas and the Mexican Border States. The Committee shall develop health care strategies to improve Border health conditions and recommendations for their implementation.
Committee: Senate Finance
Title: Interim Report - Graduate medical education
Library Catalog Title: Report to the Senate Finance Committee, 76th Texas Legislature / Senate Finance Committee Interim Subcommittee on Graduate Medical Education.
Subjects: Hospitals | Indigent health care | Medicaid | Medicaid Disproportionate Share Hospital Program, Texas | Medical education | Medical reimbursements |
Library Call Number: L1836.76 f49me
Session: 76th R.S. (1999)
Online version: View report [72 pages  File size: 3,045 kb]
Charges: This report should address the charges below.
1. Evaluate the financial viability and educational effectiveness of graduate medical education in light of changes in Medicaid, managed care, and other cost factors, including the impact of uncompensated care. This evaluation shall include a review of the role of the state's teaching hospitals in the provision of indigent health care, and the role of graduate medical education in addressing health care needs of under-served regions of the state.
2. Review the Texas Disproportionate Share Hospital Program, with an emphasis on the formula and criteria used to distribute funding to hospitals. The committee's report should include a comprehensive assessment of all sources of funding (federal, state, and local) available to hospitals which serve Medicaid clients and the indigent poor, as well as the costs incurred by hospitals which serve Medicaid clients and the indigent poor, as well as the costs incurred by hospitals serving these groups. The committee will report any findings or recommendations by May 1. Subcommittee: Moncrief - Chairman, Truan, West, Carona, Lindsay SFC Staff: Nancy Frank, Laura Smith LBB: Kim Carson, Trey Berndt - Fed. Funds, Regina Martin - HHS
Committee: Senate Finance
Title: Interim Report - Medicaid Disproportionate Share Hospital Program
Library Catalog Title: Final report on Medicaid disproportionate share hospital funding / [submitted] to the Senate Finance Committee [by] Senate Finance Interim Subcommittee on Graduate Medical Education.
Subjects: Hospitals | Indigent health care | Medicaid | Medicaid Disproportionate Share Hospital Program, Texas | Medical reimbursements |
Library Call Number: L1836.76 f49meh
Session: 76th R.S. (1999)
Online version: View report [129 pages  File size: 7,339 kb]
Charge: This report should address the charge below.
1. Review the Texas Disproportionate Share Hospital Program, with an emphasis on the formula and criteria used to distribute funding to hospitals. The committee's report should include a comprehensive assessment of all sources of funding (federal, state, and local) available to hospitals which serve Medicaid clients and the indigent poor, as well as the costs incurred by hospitals which serve Medicaid clients and the indigent poor, as well as the costs incurred by hospitals serving these groups. The committee will report any findings or recommendations by May 1. Subcommittee: Moncrief - Chairman, Truan, West, Carona, Lindsay SFC Staff: Nancy Frank, Laura Smith LBB: Kim Carson, Trey Berndt - Fed. Funds, Regina Martin - HHS
Committee: House Human Services
Title: Interim report
Library Catalog Title: House Committee on Human Services, Texas House of Representatives interim report, 2000 : a report to the House of Representatives, 77th Texas Legislature.
Subjects: Americans with Disabilities Act | Bankruptcy | Community care | Community support services | Disability benefits | Human Services, Texas Department of | Liability insurance | Long-term care | Medicaid | Medicaid eligibility | Medical liability insurance | Medical reimbursements | Medicare | Nursing homes | Persons with disabilities | Supplemental Nutrition Assistance Program | Welfare | Welfare reform |
Library Call Number: L1836.76 h88
Session: 76th R.S. (1999)
Online version: View report [98 pages  File size: 765 kb]
Charges: This report should address the charges below.
1. Study issues created by the transition of the TANF program to federal law when the state's waiver expires in 2002. Include a review of the final TANF regulations and how other states use TANF funds outside the traditional cash assistance program. Consider policies to improve outcomes for people leaving welfare.
2. Study issues surrounding the financial difficulties experienced by some nursing home companies, including the reasons for bankruptcies and closures, state policies and resources for dealing with them, and impacts on residents.
3. Assess the state's responsibilities and policies regarding supports for individuals with disabilities in community-based settings.
4. Study the current public assistance eligibility, application and review processes, and other Department of Human Services' client communications to ensure that clients are getting the supports necessary to make a successful transition to self-sufficiency.
Committee: Joint Long-Term Care Legislative Oversight
Title: Interim report
Library Catalog Title: Long Term Care Legislative Oversight Committee interim report.
Subjects: Attorney General of Texas | Human Services, Texas Department of | Long-term care | Long-term care insurance | Medicaid | Medical reimbursements | Nursing homes | Quality of care |
Library Call Number: L1836.75 l854r
Session: 75th R.S. (1997)
Online version: View report [81 pages  File size: 3,789 kb]
Charges: This report should address the charges below.
1. Identify significant problems in the nursing facility regulatory system and make recommendations for legislation action.
2. Analyze and monitor the effectiveness and efficiency of the nursing facility regulatory system of Texas and make recommendations for any necessary research or legislative action.
3. Review specific recommendations for legislation proposed by the Department of Human Services or the attorney General relating to nursing facility rules and regulations and other long-term care issues.
4. Analyze the continuum of care of long term services available to Texans and make recommendations for legislative action.
Committee: House Public Health
Title: Interim report
Library Catalog Title: Committee on Public Health, Texas House of Representatives interim report, 1992 : a report to the House of Representatives, 73rd Legislature.
Subjects: Border health | Border issues | Child nutrition programs | Dental care | Health care | Indigent health care | Lead contamination | Lead-based paint | Long-term care | Medical reimbursements | Nursing homes | Prescription drugs | Senior citizens | Solid waste disposal | Tuberculosis | Undocumented immigrants |
Library Call Number: L1836.72 h349
Session: 72nd R.S. (1991)
Online version: View report [62 pages  File size: 2,694 kb]
Charges: This report should address the charges below.
1. Study medical waste disposal in coordination with Committee on Environmental Affairs.
2. Study health care reimbursement, and coordinate with and monitor the Texas Health Policy Task Force as it relates to this issue.
3. Study the administration of medication in hospitals, nursing homes and extended care facilities.
4. Study the problems associated with indigent health care provided to the citizens of Mexico in the border regions of Texas.
5. Study tuberculosis testing, treatment, and control.
6. Study the reporting of childhood lead poisoning.
7. Study the adoption of an enforceable lead ban.
8. Study oral health in long term care facilities.
9. Study chronic disease prevention by instituting dietary changes in publicly-funded food services.
Committee: Joint Nursing Home Rate Reimbursement, Interim
Title: Interim report
Library Catalog Title: Interim report of the Joint Interim Committee on Nursing Home Rate Reimbursement : to the 72nd Legislature.
Subjects: Long-term care | Medicaid | Medical reimbursements | Nursing homes |
Library Call Number: L1836.71 n938
Session: 71st R.S. (1989)
Online version: View report [27 pages  File size: 1,021 kb]
Charge: This report should address the charge below.
1. Examine the rate-setting methodology for nursing homes to determine what changes are needed to improve patient care, manage growth, and provide reasonable and adequate rates. Also review any unresolved issues contained in the compromise agreement and determine which items it must address.
Supporting documents
Committee: Joint Nursing Home Rate Reimbursement, Interim
Title: Proclamation
Library Catalog Title: Proclamation
Library Call Number: L1800.1 p926
Session: 71st R.S. (1989)
Online version: View document [1 pages  File size: 64 kb]
Committee: Joint Future of Long Term Health Care, Special Task Force
Title: Interim report
Library Catalog Title: Report to the 71st Legislature / the Special Task Force on the Future of Long Term Health Care.
Subjects: Assisted living facilities | Community care | Community support services | Health, Texas Department of | Home health care services | Human Services, Texas Department of | Long-term care | Medicaid | Medical reimbursements | Nursing homes | Nursing shortages | Quality of care | Senior citizens |
Library Call Number: L1836.70 l859
Session: 70th R.S. (1987)
Online version: View report [99 pages  File size: 3,408 kb]
Charge: This report should address the charge below.
1. Study the current and future status of long term health care in Texas and to analyze all current laws and regulations that affect long term health care, with the goal of providing quality care for residents in the most efficient manner. The study should include: (1) a cost-efficient, simple and completely integrated regulatory system between the Texas Department of Health and the Texas Department of Human Services; (2) a regulatory system that focuses on enhancing quality care through an incentive program with sanctions and penalties carefully defined; (3) a long-term care reimbursement process designed to foster cost containment, good patient access and quality of care; and (4) defining and streamlining the certification process, as well as Medicaid eligibility.
Supporting documents
Committee: Joint Future of Long Term Health Care, Special Task Force
Title: HCR 213, 70th Leg.
Library Call Number: HCR 213, 70th Leg.
Session: 70th R.S. (1987)
Online version: View document [2 pages  File size: 181 kb]
Committee: House Retirement and Aging
Title: Interim report
Library Catalog Title: Interim report, 70th Legislature / Committee on Retirement and Aging.
Subjects: Affordable housing | Aging and Disability Services, Texas Department of | Employees Retirement System of Texas | Health insurance | Life insurance | Long-term care insurance | Medicaid | Medical reimbursements | Nursing homes | Nursing shortages | Public retirement systems | Senior citizens | Teacher Retirement System of Texas |
Library Call Number: L1836.70 r314
Session: 70th R.S. (1987)
Online version: View report [119 pages  File size: 4,409 kb]
Charges: This report should address the charges below.
1. To study the feasibility and cost of expansion of the shared housing program of the Texas Department of Aging.
2. Study the televised advertising of health and life insurance plans aimed at the elderly population.
3. To study the state retirement systems.
4. To study the current and projected financial condition of the private long-term care industry and examine possible funding alternatives, including the feasibility of tax deductible payments for nursing home care.
5. To study the costs and benefits of expanding internal administration of real estate investments in comparison to engaging outside real estate advisors by the Teachers Retirement System.
Committee: Joint Rural Health Care Delivery, Special Task Force
Title: Interim report
Library Catalog Title: Report and recommendations / the Special Task Force on Rural Health Care Delivery in Texas.
Subjects: Center for Rural Health Initiatives | Emergency medical services | Medicaid | Medical liability insurance | Medical reimbursements | Nursing shortages | Rural areas | Rural health care | Rural issues | Trauma centers |
Library Call Number: L1836.70 r88
Session: 70th R.S. (1987)
Online version: View report [142 pages  File size: 5,399 kb]
Charge: This report should address the charge below.
1. Define minimal desired medical care for rural counties and communities with due regard for population, geography, proximity to tertiary care centers, physician manpower, and medical transportation availability; define the resources available and/or needed to provide a voluntary plan to meet the needs of Texas counties, including methods of financing the implementation and operation of such a voluntary plan; and seek consensus among affected parties to support the plan when and where counties and communities seek to implement it.
Supporting documents
Committee: Joint Rural Health Care Delivery, Special Task Force
Title: SCR 25, 70th Leg.
Library Call Number: SCR 25
Session: 70th R.S. (1987)
Online version: View document [2 pages  File size: 170 kb]
Committee: House Human Services
Title: Interim Report
Library Catalog Title: Interim report of the Committee on Human Services, Texas House of Representatives to the Seventieth Legislative Session, 1986.
Subjects: Assisted living facilities | Child care | Child Protective Services | Criminal records | Long-term care | Medicaid | Medical reimbursements | Medicare | Mental health services | Nursing homes | Poverty | Preferred provider organizations | Privatization | Senior citizens | State employee turnover | Teenage pregnancy | Welfare | Welfare-to-work |
Library Call Number: L1836.69 h88
Session: 69th R.S. (1985)
Online version: View report [178 pages  File size: 9,803 kb]
Charges: This report should address the charges below.
1. To study the Aid to Families with Dependent Children Program (AFDC), including the problems of needy children and their families, the various employment, training and education programs, and other options designed to help Texas families become self-supporting.
2. To study the problems encountered by the elderly in gaining access to appropriate post-hospital health care services, including skilled nursing and custodial services.
3. To study the Child Protective Services Program of the Department of Human Services regarding case workloads and staffing requirements.
4. To study the implementation of criminal background check legislation for child-care workers including the use of federal funds for caregiver training.
5. To study continuing care communities and other options for the well-elderly.
6. To study the problems of preventing unwanted teenage pregnancy, preventing poor parenting by teenagers, and preventing unemployment and poverty in teen-headed families.
7. To study the advantages and disadvantages of the preferred provider insurance plan, with particular emphasis on consideration of quality of services, access to services, cost of care rendered, the effect on existing physician-patient relationships, and a proposed legislative/regulatory structure for such medical care delivery and financing arrangements; in conjunction with Insurance and Public Health Committees.
8. To study the utilization of and potential for further development of privatization of care for the mentally ill and mentally retarded in the State, in conjunction with Appropriations and Law Enforcement committees.
9. To study the impact on Medicare-Medicaid and associated state health and welfare costs of the elimination of the certificate of need process in Texas.
Committee: Senate Human Resources Subcommittee on Public Health and Welfare
Title: Interim Report - Nursing homes
Library Catalog Title: Interim study on nursing homes / Subcommittee on Public Health and Welfare, Texas Senate.
Subjects: Long-term care | Medical reimbursements | Nursing homes | Quality of care |
Library Call Number: L1836.63 n937
Session: 63rd R.S. (1973)
Online version: View report [91 pages  File size: 3,091 kb]
Charge: This report should address the charge below.
1. Conduct a study of long-term care in Texas. Study government regulation of nursing homes and Medicaid reimbursement to nursing homes. Review complaints regarding nursing home operations and quality of care. *
Supporting documents
Committee: Senate Human Resources Subcommittee on Public Health and Welfare
Title: Nursing home hearing
Library Catalog Title: Nursing home hearing
Library Call Number: L1836.63 n937h
Session: 63rd R.S. (1973)
Online version: View document [0 pages]
Committee: Senate Medical Costs, Interim
Title: Interim Report
Library Catalog Title: Report to the Sixty-third Legislature. / Senate Interim Committee to Study Rising Medical Costs.
Subjects: Health care costs | Health maintenance organizations | Medical reimbursements |
Library Call Number: L1836.62 M468r
Session: 62nd R.S. (1971)
Online version: View report [24 pages  File size: 1,087 kb]
Charge: This report should address the charge below.
1. Make a thorough study of rising medical costs.
Committee: House Medical Welfare Program, Interim
Title: Interim Report
Library Catalog Title: Texas medical welfare program : a report to the House of the 63rd Legislature / by the House Interim Committee on Medical Welfare.
Subjects: Indigent health care | Medicaid | Medical reimbursements |
Library Call Number: L1836.62 M468
Session: 62nd R.S. (1971)
Online version: View report [39 pages  File size: 1,157 kb]
Charge: This report should address the charge below.
1. Study the entire medical welfare program in the state of Texas, giving special attention to the desirability and feasibility of implementing the following changes: (1) Placing a limit on the number of days a beneficiary can stay in the hospital; (2) Requesting the United States Department of Health, Education, and Welfare give permission to the State to limit the cost of hospital rooms for Medicaid patients to a figure in line with that provided in private health insurance plans for families earning $8,000 to $10,000 a year; (3) Establishing a fixed fee schedule to replace "usual, and customary fees" charged Medicaid patients; and (4) Establishing a surgical schedule for Medicaid like that provided in private insurance plans, including a limit to be paid physicians for obstetrical care.
Supporting documents
Committee: House Medical Welfare Program, Interim
Title: The Blue Cross role in Medicaid
Library Catalog Title: The Blue Cross role in Medicaid / prepared for the House Interim Committee on Medical Welfare by Blue Cross and Blue Shield of Texas.
Library Call Number: L1836.62 M468B
Session: 62nd R.S. (1971)
Online version: View document [127 pages  File size: 4,764 kb]
Committee: House Medical Welfare Program, Interim
Title: Transcript, May 19, 1972, Dallas
Library Catalog Title: Minutes
Library Call Number: L1836.62 M468H 5/19
Session: 62nd R.S. (1971)
Online version: View document [48 pages  File size: 42,003 kb]
Committee: House Medical Welfare Program, Interim
Title: Statement by L. Dean Cobb, Chairman, December 19, 1972
Library Catalog Title: Minutes
Library Call Number: L1836.62 M468MS
Session: 62nd R.S. (1971)
Online version: View document [17 pages  File size: 678 kb]

* This represents an abstract of the report contents. Charge text is incomplete or unavailable.

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